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9781405173384

Surgical Management of Vitiligo

by ; ;
  • ISBN13:

    9781405173384

  • ISBN10:

    1405173386

  • Format: eBook
  • Copyright: 2008-06-01
  • Publisher: Wiley-Blackwell
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Summary

Although vitiligo has traditionally been very difficult to treat, a new breakthrough surgical treatment is expanding options for practitioners and patients. Standard treatments depend on the severity of the condition and the patient's feelings of disfigurement. Cover-up cosmetics work well for some people. Other more sophisticated forms of treatment include gradually developing color back in the depigmented areas (repigmentation) by PUVA or other ultraviolet light treatments, but this is extremely slow and intensive, often requiring several hundred treatments. This new form of treatment, which involves surgically transplanting melanocytes into the white areas, is most successful in patients with stable vitiligo over less than 300f their body surface area. It complements medical therapies in achieving complete and sustained repigmentation and is rapidly gaining popularity in all major centers. This is the first book available which describes this major advance in detail. * Explains the new treatment of surgically transplanting melanocytes into the affected areas of the skin to provide dermatologists and surgeons with the latest state-of-the-art information * Written by the international leaders who pioneered this treatment * Presents all the latest information on the topic, eliminating the need to search through multiple sources for specific data

Table of Contents

Pathogenesis and Medical Treatment
Pathogenesis of Vitiligo. (Jean-Paul Ortonne
Understanding the Mechanism of Repigmentation in Vitiligo.
Classification of Vitiligo.
Medical Treatment of Vitiligo.
Overview of Surgical Management
History and chronology of development of surgical therapies for vitiligo.
The Concept of Stability of Vitiligo.
Patient Selection and Preoperative Information in Surgical Therapies for Vitiligo.
Classification of Surgical Therapies for Vitiligo.
Surgical Management of Vitiligo and Other Leukodermas: Evidence-based Practice Guidelines.
Evaluation of Outcome in Surgical Therapies for Vitiligo.
Tissue Grafting
Minigrafting for Vitiligo.
Suction Blister Epidermal Grafting.
Thin Split-thickness Skin Grafts for Vitiligo.
Treatment of Leukoderma by Transplantation of Ultra-thin Epidermal Sheets.
Transplantation of Hair Follicles for Vitiligo.
Mesh Grafts for Vitiligo. (C.R. Srinivas, Reena Rai and M. Sinha
Flip-top Pigment Transplantation.
Ultrasonic Abrasion and Seed Grafts for Vitiligo.
Complications and Limitations of Melanocyte Transplantation.
Cellular Grafting
Treatment of Leukoderma by Transplantation of Basal Cell Layer Suspension.
Setting up a Tissue Culture Laboratory.
Treatment of Leukoderma by Transplantation of Cultured Autologous. Melanocytes
Transplantation of in Vitro Cultured Epithelial Grafts for Vitiligo and Piebaldism.
Simplifying the Delivery of Cultured Melanocytes and Keratinocytes for Grafting Patients with Vitiligo.
Safety Concerns in Transplantation of in Vitro Cultured Cellular Grafts.
Special Issues
Post-surgery Patient Information.
Surgical Management of Lip Vitiligo.
Surgical Management of Vitiligo of Eyelids and Genitals: Special Issues.
Surgical Management of Acral vitiligo.
Surgical Management of Leukotrichia.
Surgical Treatments of Leukodermas other than Vitiligo Vulgaris.
Miscellaneous
Micropigmentation.
Laser for Repigmenting Vitiligo.
Application of Lasers in Transplantation Procedures for Vitiligo.
Combining Medical and Surgical Therapies.
Surgical Depigmentation of Vitiligo: Bleaching Cream, Laser and Cryosurgery.
Future directions in Surgical Management of Vitiligo.
Informed Consent.
Table of Contents provided by Publisher. All Rights Reserved.

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